Active NPI
Truc Phuong Nguyen, M.D.
- Family Medicine Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207Q00000X
- Practice address
- 665 Duluth Hwy Ste 501
Lawrenceville, GA 30046-8709 - Phone
- (678) 312-0400
- Fax
- (678) 312-0423
- NPI assigned
- Jun 25, 2014
- Last updated
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207Q00000X | GA | Primary |
Addresses
Primary practice location
665 Duluth Hwy Ste 501
Lawrenceville, GA 30046-8709
Mailing address
665 Duluth Hwy Ste 501
Lawrenceville, GA 30046-8709
Phone (678) 312-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2414 Thurleston LN
Duluth, GA 30097-7409
27090 Evergreen Chase Dr
Wesley Chapel, FL 33544-6693
2955 Bethany BND
Suite 200
Alpharetta, GA 30004-4597
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207Q00000X | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conscious Regenerative Medicine LLC | Family Medicine | Current | Accepting new patients |
Locations
2955 Bethany Bnd
Ste 200
Alpharetta, GA 30004
Phone (678) 261-7879
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1952716219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 DULUTH HWY STE 501",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468709",
"telephone_number": "678-312-0400",
"fax_number": "678-312-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 DULUTH HWY STE 501",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468709",
"telephone_number": "678-312-0400",
"fax_number": "678-312-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRUC",
"middle_name": "PHUONG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "207Q00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.